Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $31.16 / $32.40	Facility		$17.68	$31.16	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $17.68 / $18.85	Professional		$16.07	$17.68	$18.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $73.53 / $156.40	Facility		$49.02	$73.53	$156.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $26.53 / $78.55	Professional		$16.07	$26.53	$78.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $43.26	Facility		$15.17	$15.17	$43.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $19.72	Professional		$16.07	$16.07	$19.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $20.10 / $48.24	Facility		$15.58	$20.10	$48.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $94.99 / $166.23	Facility		$50.46	$94.99	$166.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $41.53 / $78.55	Professional		$37.54	$41.53	$78.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $71.48 / $151.96	Facility		$49.02	$71.48	$151.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07